Organization Active NPI

LSS of Madison LLC

  • Skilled Nursing Facility
  • Madison, WI
National Provider Identifier
1144329004
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3153 Issued in WI
Legal business name
LSS OF MADISON LLC
Doing business as
BELMONT NURSING AND REHABILITATION CENTER
Belmont Health and Rehabilitation Center
Practice address
110 Belmont Road
Madison, WI 53714-3129
Phone
(608) 249-7391
Fax
(608) 249-7906
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric R Lunde
Title
Board Member
Phone
(612) 695-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3153 WI Primary

Addresses

Primary practice location

110 Belmont Road
Madison, WI 53714-3129

Mailing address

110 Belmont Road
Madison, WI 53714-3129
Phone (608) 249-7391

Other identifiers 1

IdentifierTypeStateIssuer
20192700MedicaidWI

Other names 2

  • BELMONT NURSING AND REHABILITATION CENTER Doing business as
  • Belmont Health and Rehabilitation Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0870184Belmont Nursing & Rehabilitation Center110 Belmont Road, Madison, WI 53714Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1144329004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BELMONT ROAD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143129",
            "telephone_number": "608-249-7391",
            "fax_number": "608-249-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELMONT ROAD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143129",
            "telephone_number": "608-249-7391",
            "fax_number": "608-249-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSS OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "LUNDE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "612-695-5618"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20192700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELMONT NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELMONT NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belmont Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.